31D1022452 CLIA NUMBER - VITO MAZZOCCOLI, MD

Laboratory Demographics

  • CLIA Code: 31D1022452
  • Facility Name: VITO MAZZOCCOLI, MD
  • Facility Address: 73 BLOOMFIELD AVENUE 1ST FLOOR SUITE B
    CALDWELL, NJ
    ZIP 07006
  • Facility Phone: 973 403-3200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: VITO MAZZOCCOLI MD
  • NPI Number: 1518936053
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D1022452
LAB Type Physician Office
Facility Name VITO MAZZOCCOLI, MD
Street 73 BLOOMFIELD AVENUE 1ST FLOOR SUITE B
City CALDWELL
State NJ
ZIP 07006
Phone 973 403-3200
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type Physician Office
Lab Director VITO MAZZOCCOLI MD

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This page was last updated on: 9/29/2025